Chirles Araújo de França

Antimicrobial resistance of Staphylococcus spp. from small ruminant mastitis in Brazil

The study aimed to determine the antimicrobial resistance patterns and to identify molecular resistance markers in Staphylococcus spp. (n=210) isolated from small ruminant mastitis in Brazil. The antimicrobial resistance patterns were evaluated by the disk diffusion test and by detection of the presence of mecA, blaZ, ermA, ermB, ermC and msrA genes by PCR. The efflux pump test was performed using ethidium bromide and biofilm production was determined by Congo red agar test along with PCR for detection of the icaD gene. The isolates were most resistant to amoxicillin (50.0%), streptomycin (42.8%), tetracycline (40.4%), lincomycin (39.0%) and erythromycin (33.8%). Pan-susceptibility to all tested drugs was observed in 71 (33.8%) isolates and 41 Staphylococcus isolates were positive for the efflux pump. Although phenotypic resistance to oxacillin was observed in 12.8% of the isolates, none harbored the mecA gene. However, 45.7% of the isolates harbored blaZ indicating that beta-lactamase production was the main mechanism associated with staphylococci resistance to beta-lactams in the present study. The other determinants of resistance to antimicrobial agents ermA, ermB, ermC, and msrA were observed in 1.4%, 10.4%, 16.2%, and 0.9% of the isolates, respectively. In addition, the icaD gen was detected in 32.9% of the isolates. Seventy three isolates (54 from goats and 19 from sheep) were negative for all resistance genes tested and 69 isolates presented two or more resistance genes. Association among blaZ, ermA, ermB, ermC and efflux pump were observed in 17 isolates, 14 of which originated from goats and three from sheep. The data obtained in this study show the resistance of the isolates to beta-lactamics, which may be associated with the use of antimicrobial drugs without veterinary control.

Etiologia e perfil de sensibilidade antimicrobiana dos isolados bacterianos da mastite em pequenos ruminantes e concordância de técnicas empregadas no diagnóstico

Mastitis is an inflammation of mammary gland, that are important in milking breed as well in meat ones. It is associated with serious reduction in milk production and quality, lambs weight gain reduction and mortality The goal of this work was determine the major etiologic agents of goat and sheep mastitis, as well as antimicrobial drug-resistance patterns and the agreement between two different diagnostic tools. We visit 25 goat, sheep, and goat and sheep farms in Pernambuco and Bahia State, and a total of 439 goats and 76 sheep milk samples were collected. To diagnose of small ruminant mastitis were compared two tests: Milk culture and California Mastitis Test (CMT). The bacterial drug-resistance pattern was determined by Kirby Bauer test. Staphylococcus spp. was the most frequent bacteria isolated from goat and sheep mastitis cases. Streptococcus spp., Corynebacterium spp. and gram-negative bacilli were isolated. It was possible to observe the high sensitivity to antimicrobial drugs in all tested bacteria, being the lower sensitivity percentage determined to nalidixic acid. Considering caprine mastitis diagnostic the comparative analysis between microbiologic culture and shown a concordance degree of K=0,17, although to ovine species these value was K=0,22. The use of CMT to subclinical mastitis diagnostic in goat and ewes must be associated to milk bacterial culture.

Antimicrobial resistance of Staphylococcus spp. isolates from cases of mastitis in buffalo in Brazil

Persistent buffalo mastitis caused by Staphylococcus spp. gives rise to economic losses and may be resistant to antimicrobial therapy. The aim of the present study was to determine resistance patterns and the presence of mecA, blaZ, and efflux pump in Staphylococcus spp. isolated from cases of mastitis in Brazilian buffalo herds. Susceptibility to antimicrobials was determined by the disk diffusion test and detection of the mecA and blaZ genes by polymerase chain reaction. The efflux pump screening test was performed by growing samples in Muller–Hinton agar containing ethidium bromide. The percentages for resistance to the drugs tested were: 71.8% to penicillin, 49.2% to amoxicillin, 65.8% to oxacillin, 62.3% to cefquinome, 44.7% to cephalonium, 45.2% to ciprofloxacin, 32.6% to enrofloxacin, 58.7% to erythromycin, 42.7% to florfenicol, 34.6% to gentamicin, 35.1% to trimethoprim–sulfamethoxazole, 8.5% to tetracycline + neomycin + bacitracin, 43.2% to cephalothin, 38.1% to streptomycin, 58.7% to tetracycline, 31.6% to norfloxacin, 45.2% to ceftriaxone, 43.2% to nitrofurantoin, 57.7% to doxycycline, and 53.7% to cephalexin. Simultaneous resistance to 4 or more antimicrobial drug groups was observed in 112 isolates, using the mecA (11) and blaZ (79) genes, and efflux pump (47). It is concluded that Staphylococcus spp. isolates from cases of mastitis in Brazilian buffalo show varying levels of resistance to antibiotics, and caution should be exercised in choosing therapeutics in order to minimize the risk to public health.

Oxacillin-resistant coagulase-negative Staphylococci bacteremia at a teaching hospital in Santa Maria, State of Rio Grande do Sul, Brazil

INTRODUCTION This study aimed to characterize the prevalence and susceptibility profile to oxacillin-resistant Coagulase-negative Staphylococci strains isolated from blood cultures in a teaching hospital, located in Santa Maria, RS. In addition, different methodologies for phenotypic characterization of mecA-mediated oxacillin resistance were compared with genotypic reference testing. METHODS After identification (MicroScan - Siemens), the isolates were tested for antimicrobial sensitivity using disk diffusion and automation (MicroScan - Siemens). The presence of mecA gene was identified by the polymerase chain reaction molecular technique. RESULTS The most common species was Staphylococcus epidermidis (n=40, 67%). The mecA gene was detected in 54 (90%) strains, while analysis of the sensitivity profiles revealed a high rate of resistance to multiple classes of antimicrobial drugs. However, all isolates were uniformly sensitive to vancomycin and tigecycline. The cefoxitin disk was the phenotypic method that best correlated with the gold standard. CONCLUSIONS Analysis of the clinical significance of CoNS isolated from hemocultures and the precise detection of oxacillin resistance represent decisive factors for the correct choice of antibiotic therapy. Although vancomycin constitutes the normal treatment in most Brazilian hospitals, reduction in its use is recommended.

Caracterização fenotípica, produção de biofilme e resistência aos antimicrobianos em isolados de Staphylococcus spp. obtidos de casos de mastite em bovinos e bubalinos

The aim of the present study was to evaluate the antimicrobial susceptibility pattern and to perform the phenotypic and genotypic characterization of the Staphylococcus spp. isolates from mastitis cases in cattle (n=30) and buffaloes (n=30). The susceptibility to antimicrobial drugs was performed by disk diffusion test and the presence of efflux pump was evaluated in Mueller Hinton (MH) Agar supplemented with ethidium bromide as well as by detection of msrA gene. Similarly, the PCR technique was done to detect mecA, blaZ and ermA, B e C genes, that were related after with the presence of antimicrobial resistance in disk diffusion test. The formation of biofilm was characterized using Congo Red Agar (CRA), microplate adherence and detection of icaD gene. Staphylococcus spp. isolates shown high antimicrobial susceptibility in disk diffusion test. The multidrug resistance (MDR) rate ranged from 0 and 0,5. In the efflux pump test, 26.7% of Staphylococcus spp. strains were positive in phenotypic method and 6.7% in PCR for msrA gene. The erm, mecA and blaZ genes were detected in 1.7%, 6.7% and 11.7% of Staphylococcus spp. strains respectively. In biofilm production tests, 23.3% of the samples were positive in CRA, 50% in microplate adherence test and 8.3% in icaD gene PCR. The cattle isolates were less sensitive to antimicrobial drugs when compared to the buffaloes ones. The characterization of these isolates is very important to guide a successful antimicrobial therapy. The biofilm presence in the isolates may be associated with other factors besides antimicrobial resistance.

Perfil de resistência a antimicrobianos de Staphylococcus spp. isolados de frangos de corte e poedeiras comerciais no estado de Pernambuco

This study had the objective of researching Staphylococcus spp. on healthy broilers and commercial broilers and layers, with clinical respiratory signs. Swabs were taken from the infraorbital sinus of 55 healthy broilers, 35 with respiratory signs and 30 commercial layers also with respiratory signs. Each sample was composed of a pool of five birds, totaling 24 collected samples from 24 commercial flocks. The bacteriological exam was used for the isolation, with a later evaluation of the morphological, tintorial and biochemical characteristics to determine the species. The production of hemolysis, formation of a biofilm in Congo Red Agar, detection of the gene mecA by the PCR and susceptibility to 13 antimicrobial drugs, was verified. From the 24 processed samples, 16 Staphylococcus spp. were obtained isolates, five samples were coagulasis-positive (SCP) and 11 coagulasis-negative (SCN). As to hemolysis and the formation of biofilm tests three samples presented themselves to be hemolytic and six were positive, respectively. In the PCR evaluation for the detection of the mecA gene, all isolates showed negative results. It was observed that 15 E coli isolates were resistant to five or more antibiotics, and that the associated drugs presented better sensibility. The resistance to antimicrobials and biofilm productive strains can interfere in the therapeutic response of birds that present clinical signs.